Organization Active NPI

Kean DC PC

  • Chiropractor
  • Washington, NC
National Provider Identifier
1790841005
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2937 Issued in NC
Legal business name
KEAN DC PC
Doing business as
Siegel Chiropractic Center
Practice address
108 Avon Ave
Washington, NC 27889-3841
Phone
(252) 946-5101
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott M Siegel, D.C.
Title
President
Phone
(252) 259-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2937 NC Primary

Addresses

Primary practice location

108 Avon Ave
Washington, NC 27889-3841

Mailing address

108 Avon Ave
Washington, NC 27889-3841
Phone (252) 946-5101

Other identifiers 2

IdentifierTypeStateIssuer
5922361MedicaidNC
DQ5842OtherMEDICARE RAIL ROAD

Other names 1

  • Siegel Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

845 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 259-1443

108 Avon Ave
Washington, NC 27889
Phone (252) 362-6114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1790841005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-259-1443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922361",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "DQ5842",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siegel Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.